张承承 孟凤仙 卜祥伟 白华

    [摘要] 孟凤仙教授认为，痛风病以湿、热、浊、瘀、毒为主要病因病机。临床辨证急性期以热毒为辨证要点，慢性期以痰瘀为主要病机，治疗上从清热解毒、利湿化浊、化瘀止痛、补益肾精入手，消除代谢性病理产物，降低血尿酸，防止肾损害。

    [关键词] 痛风病;中医治疗;经验总结;孟凤仙

    [中图分类号] R249? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-7210(2019)08(a)-0123-04

    [Abstract] Professor Meng Fengxian believes that dampness， heat， turbidity， blood stasis and toxicity are the main causes and pathogenesis of gout. In the acute stage of clinical syndrome differentiation， heat toxicity is the main point of syndrome differentiation， while in the chronic stage， phlegm and blood stasis are the main pathogenesis. Therapeutic measures include clearing away heat and detoxification， removing dampness and turbidity， removing blood stasis and relieving pain， tonifying kidney essence， eliminating metabolic pathological products， reducing blood uric acid and preventing kidney damage.

    [Key words] Gout; TCM treatment; Experience summary; Meng Fengxian

    痛风是因嘌呤代谢紊乱引起的一组异质性疾病，由于尿酸产生过多和/或排泄障碍而致血尿酸水平增高，尿酸盐结晶在体内沉积所导致的疾病[1]，表现为特征性关节炎反复发作，迁延不愈，严重者可导致关节肿胀畸形，关节活动障碍，痛风石形成，累及肾脏可引起尿酸钠盐肾病、尿酸结石及尿酸性肾病[2]，其发病与地域、饮食、经济、医疗及遗传等多种因素相关 ......